MEDICARE: BRITTANY ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist	247200000X	MI

General Provider Information

NPI Number	:	1093264715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ADAMS

Provider Business Mailing Address
First Line	:	39749 FOX VALLEY DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-1532
Country	:	US
Telephone Number	:	918-361-8797
Fax Number	:

Provider Business Practice Location Address
First Line	:	39749 FOX VALLEY DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-1532
Country	:	US
Telephone Number	:	918-361-8797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	09/22/2016

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Directions to “ BRITTANY ADAMS ” Practice Location

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